Nurses quietly quit their job more often than other healthcare workers: an alarming issue for healthcare services

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: June 26, 2023

Abstract Background: Quiet-quitting phenomenon in not new but has been frequently discussed during the COVID-19 pandemic. Interestingly, level of quiet quitting among healthcare workers (HCWs) measured yet. Objective: To assess HCWs, and identify possible differences between nurses, physicians, other HCWs. Moreover, we investigated impact socio-demographic variables, job burnout, satisfaction on levels. Methods: We conducted a cross-sectional study with convenience sample HCWs June 2023. included dentists, pharmacists, midwives, psychologists, physiotherapists that have working services. characteristics burnout “Copenhagen Burnout Inventory”, “Job Satisfaction Survey”, “Quiet Quitting” Scale. Results: Study population 1760 mean age 41.1 years. Among our sample, 57.9% were quitters, while 42.1% non quitters. In particular, 67.4% nurses prevalence for physicians 53.8% 40.3% respectively (p<0.001). Multivariable linear regression analysis identified levels higher than greater contributed more to quitting, less implied quitting. Shift those private sector experienced Additionally, found negative relationship clinical experience Conclusions: More half described as quit Levels even when controlling several confounders. Higher lower associated

Language: Английский

Improving Guideline-Concordant Care for Febrile Infants Through a Quality Improvement Initiative

PEDIATRICS, Journal Year: 2024, Volume and Issue: 153(5)

Published: April 29, 2024

OBJECTIVES We aimed to examine the impact of a quality improvement (QI) collaborative on adherence specific recommendations within American Academy Pediatrics’ Clinical Practice Guideline (CPG) for well-appearing febrile infants aged 8 60 days. METHODS Concurrent with CPG release in August 2021, we initiated QI involving 103 general and children’s hospitals across United States Canada. developed multifaceted intervention bundle improve 4 primary measures secondary measures, while tracking 5 balancing measures. Primary focused guideline where deimplementation strategies were indicated. analyzed data using statistical process control (SPC) baseline project enrollment from November 2020 October 2021 2022. RESULTS Within final analysis, there 17 708 included. SPC demonstrated Specifically, appropriately not obtaining cerebrospinal fluid qualifying administering antibiotics had highest at end (92.4% 90.0% respectively). Secondary parent engagement emergency department discharge 22 28 days oral 29 positive urinalyses greatest changes collaborative-wide improvements 16.0% 20.4% respectively. Balancing showed no change missed invasive bacterial infections. CONCLUSIONS A was associated several AAP infants.

Language: Английский

The Role of Perceived Organizational Support in Mental Health of Healthcare Workers During the COVID-19 Pandemic: A Cross-Sectional Study

Frontiers in Psychiatry, Journal Year: 2021, Volume and Issue: 12

Published: Nov. 1, 2021

Background: Data support the link between coronavirus disease 2019 (COVID-19) pandemic and mental distress in healthcare workers (HCWs). Although previous studies have documented association organizational policies employees' psychological status, there is still scant evidence regarding effect of perceived (POS) on HCWs during pandemic. Aims: The present study aimed to assess POS COVID-19 role stress, depressive trauma symptoms was investigated. Methods: This an online cross-sectional 424 HCWs. were collected first wave pandemic, included demographics, a 7-item questionnaire assessing POS, "Patient Health Questionnaire" symptoms, "Impact Events Scale Revised," measuring post-traumatic stress disorder (PTSD) "Perceived Stress Scale" stress. Results: mean score 3.33 [standard deviation:1.85; range 0-7]. Younger (p < 0.001), less experienced female = 0.002), non-physician 0.031) more likely report lower self-perceived than older, male, physicians. Self-perceived significantly negatively associated with self-assessed intensity traumatic after adjusting for putative confounders 0.001). Discussion: HCWs' status Organizational should be addressed simultaneously increase resilience among them.

Language: Английский

The Sustained Psychological Impact of the COVID-19 Pandemic on Health Care Workers One Year after the Outbreak—A Repeated Cross-Sectional Survey in a Tertiary Hospital of North-East Italy

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(24), P. 13374 - 13374

Published: Dec. 19, 2021

This study aimed to evaluate the mental health outcomes of care workers (HCWs) Verona academic hospital trust (Italy) one year after outbreak COVID-19 and identify predicted risk factors. A web-based survey was conducted from mid-April mid-May 2021 on first evaluation performed during lock-down phase pandemic. Post-traumatic stress, general anxiety, depression, burnout were assessed by using, respectively, impact event scale (IES-R), self-rating anxiety (SAS), patient questionnaire (PHQ-9) Maslach inventory-general (MBI-GS). Multivariate logistic regression analysis factors associated with each four outbreak. total 1033 HCWs participated. The percentage scoring above cut-off increased 2020 in all outcome domains (anxiety, 50.1% vs. 55.7, p < 0.05; 26.6% 40.6%, 0.001; burnout, 28.6% chi-square test), exception post-traumatic distress. There also an increase when stratifying occupation workplace, a greater for depression burnout. revealed that, outbreak, nurses at greatest whereas residents (in terms low professional efficacy). Working intensive units developing severe emotional exhaustion cynical attitude towards work.

Language: Английский

Predictors of Burnout in Hospital Health Workers during the COVID-19 Outbreak in South Korea

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(21), P. 11720 - 11720

Published: Nov. 8, 2021

This study aimed to identify the factors that influence components of burnout-emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA)-among hospital health workers, including doctors nurses, during COVID-19 pandemic. We analyzed 200 healthcare workers' responses Employee Health Promotion Survey conducted at a general in Seoul with over beds. The questionnaire included items about COVID-19-related burnout its influencing factors. performed three different multiple regression analyses using EE, DP, PA as dependent variables. results show sex, marital status, workload treating suspected patients, fear infection, anxiety, depression predicted EE. predictors DP were job category, consecutive months work current department, satisfaction environment, depression. directly interacting socioeconomic stress. For EE was found be worse nurses than other workers; moreover, among across all aspects burnout. findings can used establish tailored policies address each component.

Language: Английский

Burnout and impostor phenomenon in nursing and newly licensed registered nurses: A scoping review

Journal of Clinical Nursing, Journal Year: 2022, Volume and Issue: 32(5-6), P. 653 - 665

Published: Aug. 2, 2022

Abstract Aims and objective To identify the prevalence severity of impostor phenomenon burnout in newly licensed registered nurses, map current literature on nursing, related factors affecting new nurse's transition to practice. Background Impostor is an internalised intellectual phoniness resulting persistent self‐doubt despite prior success. It can evoke feelings emotional exhaustion associated with burnout, negatively employee retention. Due changes nursing education from COVID‐19, uncertainty among nurses are expected be heightened, leading which adversely effects nurse well‐being, patient care Design The scoping review follows methodological framework developed by Arksey O'Malley (2005) Reporting Checklist for Scoping Reviews (PRISMA‐ScR) guidelines. Methods search was conducted utilising PubMed, CINAHL PsycINFO. Inclusion criteria were studies published between 2011 2021, written English, peer‐reviewed, focused nurses. Eighteen articles reviewed. Results Studies limited students clinical specialists. Prevalence these populations range 36% 75%, 12.3% 46% report burnout. arise role ambiguity, lack self‐compassion, transitions, minimal experience. Burnout stress, feeling unprepared, inadequate socialisation, self‐compassion. Overlap could increase Conclusions Effects impact well‐being nurse. Currently, no simultaneously examine Further research relationship phenomena should conducted. Relevance practice Understanding help mitigate challenges they face transitioning into

Language: Английский

Virtual Reality for Health Care Professionals During a Pandemic: A Pilot Program

Journal of Primary Care & Community Health, Journal Year: 2022, Volume and Issue: 13

Published: Jan. 1, 2022

Objective: The purpose of this pilot study was to evaluate the safety and use a nature-based virtual reality (VR) experience among health care providers (HCP) during pandemic. Methods: Twenty-four frontline HCP participated in crossover where viewing order experiences were randomized. All participants attended in-person consent, baseline, end-of-study visits. intervention consisted 2 scenes (“walk woods” “forest focus”) through 3-D VR with computer 4K graphic imagery. Randomization took place regards (VR vs video, scene 1 2). Outcomes measured safety, acceptability changes intensity anxiety feelings, resilience, emotional distress, cognitive function, self-efficacy. Results: Among 26 expressing interest study, 24 enrolled study. majority male (58.3%), white (66.7%) an average age 46.3 ± 10.5 years (standard deviation (SD)). End survey showed that almost all (96%) would participate again recommend it others. Twenty-three also felt relaxed after seeing With respect (as by STAI Y1), “walk had greatest reduction from pre post (6.4 points, SD = 5.98) followed focus” (5.8 9.29), screen (5.0 8.89), (4.1 6.22). 4 sessions significant decrease score (P-values ≤.005), but there no difference change pre- post-session between groups (P-value .5835). Conclusion: has promise for reducing stress high period, such as pandemic much larger studies are needed.

Language: Английский

Use of Mobile Apps and Online Programs of Mindfulness and Self-Compassion Training in Workers: A Scoping Review

Journal of Technology in Behavioral Science, Journal Year: 2022, Volume and Issue: 7(4), P. 477 - 515

Published: Sept. 6, 2022

Language: Английский

Burnout syndrome in intensive care physicians in time of the COVID-19: a cross-sectional study

BMJ Open, Journal Year: 2022, Volume and Issue: 12(4), P. e057272 - e057272

Published: April 1, 2022

To assess the prevalence of burnout syndrome among intensive care physicians working in a tertiary private hospital as well their perceived impact COVID-19 pandemic on life.A cross-sectional study.Intensive units dedicated to Hospital Sirio-Libanes, Sao Paulo, Southeastern part Brazil.Intensive physicians.Each participant received an envelope with questionnaire composed demographic and occupational variables, information related personal professional experiences facing Maslach Burnout Inventory questionnaire.The primary outcome was unit COVID-19.A total 51 from universe 63 (82%) participated study. Nineteen (37.2%) met criteria for syndrome. In three domains that characterise syndrome, we found low level achievement 96.1% interviewed, high depersonalisation 51.0% emotional exhaustion. Decision-making conflicts between team other attending were frequent (50% all conflicts). A third participants had been diagnosed COVID-19, 22 (43.1%) reported having family member infected 8 (15.7%) lost someone close pandemic. Participants felt fear infecting loved ones aspect lives changed most compared prepandemic period.Burnout treating patients large hospital. Future studies should expand our results public hospitals test strategies promote physicians' mental health.

Language: Английский

“Like fighting a fire with a water pistol”: A qualitative study of the work experiences of critical care nurses during the COVID‐19 pandemic

Journal of Advanced Nursing, Journal Year: 2023, Volume and Issue: 80(1), P. 237 - 251

Published: July 28, 2023

To understand the experience of critical care nurses during COVID-19 pandemic, through application Job-Demand-Resource model occupational stress.Qualitative interview study.Twenty-eight (CCN) working in ICU UK NHS pandemic took part semi-structured interviews between May 2021 and 2022. Interviews were guided by constructs Job-Demand Resource model. Data analysed using framework analysis.The most difficult job demands pace amount, complexity, physical emotional effort their work. Prolonged high led to CCN experiencing exhaustion, burnout, post-traumatic stress symptoms impaired sleep. Support from colleagues supervisors was a core resource. Sustained psychological well-being had negative organizational consequences with expressing increased intention leave role.The combination reduced resources impacts on which is translating into consideration leaving profession.The full mental health are unlikely resolve without appropriate interventions.Managers healthcare systems should use these findings inform: (i) structure organization workplaces so that they support staff be well, (ii) supportive interventions for who carrying significant distress as result after pandemic. These changes required improve recruitment retention.We used COREQ guidelines reporting qualitative studies.Six provided input survey content schedule. Two authors members study team (T.S. S.C.) worked

Language: Английский